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Wholesaler Registration

Register for the Contract Eligibilty Web Portal

Please fill in the requested information below. You will receive a confirmation of your request within 3 business days.

Logon User Name:  (Must be between 5 and 12 characters using only letters and numbers)
Email Address:
First Name:
Last Name:
Company:
Street:
City:
State:
Zip:
Telephone Number:
Password:
Confirm Password:
 


Sanofi US LLC is committed to protecting your privacy online. We are also committed to providing you with the very best experience we can on our Web site. In order to enhance your experience at our site we gather certain personal information about you that helps us customize our content to your tastes and preferences. Please read our Privacy Policy to understand how your personal information will be treated as you make full use of our Web site. This policy may change from time to time so please check back periodically.